[Precancerous lesions of the uterine cervix in cameroonian women. Cytological and epidemiological aspects of 946 cases]. / Lésions précancéreuses du col utérin chez la femme camerounaise. Aspects cytologiques et épidémiologiques de 946 cas.

OBJECTIVE: The aim of this study was to present the cytological and epidemiological aspects of precancerous lesions of the uterine cervix of women living in the two first cameroonian cities (Yaounde and Doubla). MATERIAL AND METHODS: The material was made of pap smears registrar of the Yaounde Central Hospital pathological laboratory and the reports of cervical cancer screening from Douala and Yaounde within a period of five years (1st January 1994 to 31st December 1998). We recruited all cases showing a precancerous lesion of the uterine cervix. For each case, we noted: the type of lesion, the age of the patient, the age at the first sexual intercourse, the age at the first delivery, the number of pregnancies, the parity, the marital status, the socioeconomical class. RESULTS: From a total of 13524 pap smears done, 946 (7%) have shown precancerous lesions. 70% of these were high grade while 30% were low grade. These lesions were observed at all age from the range of 11 to 15 years. All women showing these lesions had had sexual intercourse. 30% of these lesions were noted among women who have had their first sexual intercourses between 10 and 15 years. 40% were observed among women who have had their first sexual intercourses between 16 and 18 years. 66% among women who have had their first delivery between 13 and 21 years. 92% are observed among women who have had more than five pregnancies, more than five parities; 54% among women who are married and 76% among bachelors and widows; 64% among women with low socioeconomical status; 9% among women with high socioeconomical status. CONCLUSION: Many cameroonian women are prone to cervical cancer.

[Lymphoid nodules of the breast. Report of 10 cases observed in Cameroon]. / Les nodules lymphoïdes du sein. A propos de 10 cas observés en milieu camerounais.

The aim of this study was to present clinico-pathological aspects of breast lymphoid nodules in Cameroon. From the collection of the pathology laboratory of the Yaounde Central Hospital, all the cases of breast lymphoid nodules diagnosed between 1st January 1993 and 30th June 1998 were recorded. For each case, the following data were noted: age of the patient, clinical informations (signs and symptoms), microscopical aspects and histological description. 10 cases of breast lymphoid nodules were recorded. These were observed in women aged 19 to 50 and most of them were painless. All were mobile and felt by the patients before excision-biopsy. They were mostly found on the right and were less than 1 cm in diameter. Histologically, they presented as diffuse lymph node hyperplasia.